Sample NRCME Exam Questions

Question 1 of 10

A driver with a past medical history of Congestive Heart Failure (CHF) comes to see the medical examiner for his annual re-certification examination. He gives the medical examiner paperwork from his cardiologist that includes: a letter indicating that the driver is cleared to operate a commercial motor vehicle, a 2-D echo report with an ejection fraction (EF) of 48%, a negative exercise tolerance test, and negative Holter monitor test results. According to 2024 FMCSA qualification guidelines, the medical examiner should consider which of the following when making a qualification decision?

Does the individual have a stable LVEF?
Has the individual been evaluated, treated and cleared to operate a CMV by a cardiologist?
Does the driver display symptoms of fatigue, shortness of breath and swelling of the lower extremities that are likely to interfere with operating a CMV?
All of the above